NPI | 1578788709 |
---|---|
Former Name | JANET ELAINE HANISSIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT19608) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 6144) |
Enumeration Date | 2007-04-14 |
Last Update Date | 2020-04-14 |